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Collections Review

Ajilon Costa Mesa ,CA
  • Expired: over a month ago. Applications are no longer accepted.
Job Description


Ajilon is seeking a Contract-to-Hire Medical Review Specialist with 3 or more years of experience in workers compensation collections or bill review. Knowledge of relevant healthcare billing parameters including CPT/HCPCS, MS-DRG required. 

Responsibilities include; Negotiating payments, confirming reimbursements, preparing payment proposals, researching start fee schedule rules and regulations, maintaining relevant healthcare payment policy practices.

This is a great opportunity for a Medical Reviewer to continue to grow and develop their skills. This person must have excellent customer service, multi-tasking ability, and a true passion for helping people!


  • Negotiate discounts and payments
  • Confirm reimbursement of medical bills directly with providers
  • Verbal or written contact with providers to establish reimbursement rates on select medical bills through signed confirmed agreements
  • Prepare payment proposals detailing reimbursement methodology and offer
  • Maintain and track updates for all bills in review
  • Research state fee schedule rules and regulations
  • Maintain common coding and billing practices
  • Understand and enforce internal business rules along with custom client specific workflow processes
  • Regular, reliable, and punctual attendance is required 
  • Other duties as assigned
  • Experience:

  • 3 years of workers compensation medical bill review experience
  • Relevant customer service billing experience including provider interaction
  • Billing/Collections of Medical Billing
  • Advanced in MS Word/Excel/Outlook
  • Regular, reliable, and punctual attendance
  • Skills:

  • Knowledge of relevant healthcare billing parameters (CPT/HCPCS, MS-DRG, Revenue Code Classifications, and Diagnosis Codes)
  • Ability to work in a team setting environment
  • Strong verbal and written communication
  • Effective time management
  • Strong multitasking skills
  • Hours: Full Time - M-F 

    Industry: Medical Billing

    If you meet the qualifications listed above and are interested in this Contract-to-Hire role, send a Word doc of your resume to Not The Company will consider for employment qualified applicants with arrest and conviction records.



Costa Mesa, CA